Mental health and Illness Test #1
Addressing a client by Mr. or Ms. and his or her last name, unless the client asks the nurse to address him or her by another name is an example of the therapeutic action of: A) Self-awareness B) Caring C) Empathy D) Advocacy
B) Caring
Which of the following individuals would most likely benefit from joining a self-help group? A) 32-year-old female rape victim B) 25-year-old man experiencing paranoid schizophrenia C) 16-year-old who is sentenced to community service for shoplifting D) 8-year-old girl with autism
A) 32-year-old female rape victim
The 16-year old female client with an eating disorder is an inpatient at a mental health clinic. A mutually agreed-on goal is for her to limit her amount of exercise to 1 hour per day and consume at least 1000 calories per day for 1 week. This is an example of an interaction which occurs during which phase of the therapeutic relationship? A) Orientation B) Preparation C) Working D) Termination
C) Working
A male client has learned to be successful with cognitive, or intellectual, coping mechanisms, when faced with stressors, as evidenced by his ability to: A) Confront stressors directly B) Negotiate when faced with the problem C) Ignore the problem to avoid the stress it causes D) Use successful problem-solving skills
D) Use successful problem-solving skills
True or False Norepinephrine affects attention, learning, memory, and regulation of mood, sleep and wakefulness. Its Increased in patients with depression and decreased in schizophrenia, mania and anxiety.
False ( Decreased in patients with depression and increased in schizophrenia, mania, and anxiety
A client admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting, "Let me out. There's nothing wrong with me. I don't belong here." What defense mechanism is the client implementing? A. Denial B. Projection C. Regression D. Rationalization
A. Denial
A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? A. Using open-ended questions and silence B. Sharing personal preference regarding food choices C. Documenting reasons why the client does not want to eat D. Offering opinions about the necessity of adequate nutrition
A. Using open-ended questions and silence
A 10-year-old male client with autism experiences loneliness and social anxiety as a result of his disease. Which CAM therapy will the nurse suggest to help this client most with these feelings? A) Yoga B) Acupuncture C) Music and dance therapy D) Animal-assisted therapy
D) Animal-assisted therapy
True or False Acetylcholine effects the sleep/wake cycle and is reduced in clients with Alzheimers and Parkinson's
True
True or False Charles Darwin believed that mental illness was a product of inferior make-up
True
True or False Echolalia is when a client repeats the last word they hear you say (Ex: "You want to get your shower" Client " Shower, shower, you"
True
SELECT ALL THAT APPLY patient diagnosed with decreased serotonin levels would present with which of the following symptoms? A) Difficulty with sleep and wakefulness B) Mood swings and trouble regulating mood C) Thought disorders in schizophrenic clients D) Increased in depression E) Decreased in anxiety and OCD clients
A) Difficulty with sleep and wakefulness B) Mood swings and trouble regulating mood C) Thought disorders in schizophrenic clients E) Decreased in anxiety and OCD clients
A psychiatric nurse is greeted by a neighbor in a local grocery store. The neighbor says to the nurse, "How is Carol doing? She is my best friend and is seen at your clinic every week." The appropriate nursing response is which of the following? A) " I cannot discuss any client situation with you" B) " Im not supposed to discuss this, but because you are my neighbor, I can tell you that she is doing great!" C) " You may want to know about Carol, so you need to ask her yourself so you can get the story firsthand." D) " Im not supposed to discuss this, but because you are my neighbor, I can tell you that she really has some problems!"
A) " I cannot discuss any client situation with you"
A therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on: A) Client B) Establishing a friendship C) The nurse D) The plan of care
A) Client
Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply. A) Communicate expected behaviors to the client B) ensure that the client knows that he or she is not in charge of the nursing unit C) assist the client in developing means of setting limits on personal behavior D) follow through about the consequences of behavior in a non-punitive manner E) enforce rules and inform the client that he or she will not be allowed to attend therapy groups. F) be clear with the client regarding the consequences of exceeding limits
A) Communicate expected behaviors to the client C) assist the client in developing means of setting limits on personal behavior D) follow through about the consequences of behavior in a non-punitive manner F) be clear with the client regarding the consequences of exceeding limits set regarding behavior
An adult male client in an outpatient clinic has made great progress with conquering his social phobias. He is considered mentally healthy because now he is able to: A) Cope and adjust to the stressors of daily life in an acceptable manner B) Know when to take medication to control his anxiety C) Contact his therapist any time he is feeling extreme anxiety D) Adjust his medication dosages according to the stressors with which he is dealing
A) Cope and adjust to the stressors of daily life in an acceptable manner
The 7 principles of Mental health care include all of the following EXCEPT... A) Do no harm B) Accept each client as a whole person C) Develop mutual trust D) Explore Behaviors and emotions E) Dismiss delusional thoughts or ideas F)Encourage responsibility G) Encourage effective adaptation H) Provide Consistency
A) Do no harm B) Accept each client as a whole person C) Develop mutual trust D) Explore Behaviors and emotions F)Encourage responsibility G) Encourage effective adaptation H) Provide Consistency
Which qualities must be communicated to a client for the establishment of a therapeutic relationship? SELECT ALL THAT APPLY A) Genuineness B) Love C) Rapport D) Acceptance E) Enjoyment
A) Genuineness C) Rapport D) Acceptance
A nurse observes that a client is psychotic, pacing, and agitated and is making aggressive gestures. The client's speech pattern is rapid and the client's affect is belligerent. Based on these observations, the nurse's immediate priority of care is to: A) Provide safety for the client and other clients on the unit B) Provide the clients on the unit with a sense of comfort and safety C) Assist the staff in caring for the client in a controlled environment D) offer the client a less-stimulating area to calm down and gain control
A) Provide safety for the client and other clients on the unit
The nurse in the mental health unit reviews the therapeutic and non-therapeutic communication techniques with a nursing student. Which of the following are therapeutic communication techniques? Select all that apply. A) Restating B) Listening C) Asking the client, "Why" D) Maintaining neutral responses E) Giving advice, approval, or disapproval F) Providing acknowledgement and feedback
A) Restating B) Listening D) Maintaining neutral responses F) Providing acknowledgement and feedback
A client is admitted to the psychiatric nursing unit. When collecting data from the client, the nurse notes that the client was admitted on an involuntary status. Based on this type of admission, which would the nurse expect to note? A) The client presents a harm to self B) The client requested the admission C) The client consented to the admission D) The client provided written application to the facility for admission
A) The client presents a harm to self
A nurse is providing care to a client admitted to the hospital with a diagnosis of anxiety disorder. The nurse is talking with the client and the client says, "I have a secret that I want to tell you. You won't tell anyone about it, will you?" The appropriate nursing response is which of the following? A) "No, I wont tell anyone" B) " I cannot promise to keep a secret" C) " If you tell me the secret, I will tell it to your doctor" D) " If you tell me the secret, I will need to document it in your record"
B) " I cannot promise to keep a secret"
Showing empathy toward a client is an effective tool in establishing rapport. Which statement is the best example of an empathetic response? A) " I am so sorry for your loss." B) " It must be difficult for you going through this loss" C) " I am sure you will feel better soon" D) "Try to look on the bright side"
B) " It must be difficult for you going through this loss"
A nurse is caring for a client diagnosed with catatonic stupor. the client is lying on the bed, with the body pulled into a fetal position. the appropriate nursing intervention is which of the following? A) ask direct questions to encourage talking. B) leave the client alone and intermittently check on him. C) sit beside the client in silence and verbalize occasional open-ended questions. D) take the client into the dayroom with other clients so they can help watch him
C) sit beside the client in silence and verbalize occasional open-ended questions.
A client says to the nurse, "The federal guards were sent to kill me." What is the best nursing response to the client's concern? A. "I don't believe this is true." B. "The guards are not out to kill you." C. "Do you feel afraid that people are trying to hurt you?" D. "What makes you think the guards were sent to hurt you?"
C. "Do you feel afraid that people are trying to hurt you?"
The nurse in the mental health unit is performing an assessment in a client who has a history of multiple somatic complaints involving several organ systems. Diagnostic studies revealed no organic pathology. The care plan developed for this client will reflect that the client is experiencing which disorder? A. Depression B. Schizophrenia C. Somatization disorder D. Obsessive-compulsive disorder
C. Somatization disorder
A nurse is preparing for the hospital discharge of a client with a history of command hallucinations to harm self or others. The nurse instructs the client about about interventions for hallucinations and anxiety and determines that the client understands the interventions when the client states: A) "my medications won't make me anxious" B) "i'll go to a support group and talk so that I won't hurt anyone." C) "I won't get anxious or hear things if I get enough sleep and eat well" D) "I can call my therapist when Im hallucinating so that I can talk about my feelings and plans and not hurt anyone"
D) "I can call my therapist when Im hallucinating so that I can talk about my feelings and plans and not hurt anyone"
a client is admitted to the in-patient unit and is being considered for electroconvulsive therapy (ECT). The client appears calm, but the family is hyper vigilant and anxious. the client's mother begins to cry and states, "my child's brain will be destroyed. How can the doctor do this?" the nurse makes which therapeutic response? A) "it sounds as though you need to speak to the psychiatrist." B) "perhaps you'd like to see the ECT room and speak to the staff" C) "your child has decided to have this treatment. you should be supportive of the decision" D) "it sounds as though you have some concerns about the ECT procedure. Why don't we sit down together and discuss any concerns you may have?"
D) "it sounds as though you have some concerns about the ECT procedure. Why don't we sit down together and discuss any concerns you may have?"
A nurse is caring for an older adult client who has recently lost her husband. The client says, "no one cares about me anymore. All the people I loved are dead." Which response by the nurse is therapeutic? A) "right! why not just pack it in?" B) "that seems rather unlikely to me" C) "i don't believe that, and neither do you" D) "you must be feeling all alone at this point"
D) "you must be feeling all alone at this point"
Following a group therapy session, a client approaches the nurse and verbalizes a need for seclusion because of uncontrolled feelings. The nurse reports the findings to the registered nurse (RN) and expects that the RN will take which action? A) Call the client's family B) Place the client in seclusion immediately C) Inform the client that seclusion has not been prescribed D) Get a written prescription from the primary health care provider (PHCP) and obtain an informed consent
D) Get a written prescription from the primary health care provider (PHCP) and obtain an informed consent
The nurse states to a client, " What would you like to eat for your mid-morning snack ?" The client responds, " My favorite snack is fizpopofluff. It's so queepsy." What speech pattern in this client exibiting? A) Echolalia B) mutism C) pressured speech D) Neologism
D) Neologism
The nurse documents in a male client's records that he displayed a "flat affect." The clients behavior most likely would consist of: A) Rapid, dramatic changes in emotion B) Sadness and hopelessness C) Lack of agreement of affect and mood D) Unresponsive emotions
D) Unresponsive emotions
True or False Dopamine regulates emotional responses and controls complex movements, its increased in schizophrenia and Mania. Decreased in depression and Parkinson's
True
True or False Therapeutic Milieu is a combination of the social and therapeutic environment. The objective is to provide a supportive network with common goals in safe and secure surroundings.
True
The correct definition for the term Sensorium is which of the following? A) mental cognition B) part of the conscious that perceives, sorts, and combines information. Measured in orientation to time, place and person. C) The sensible decisions made by a client with mental illness D) The sense and cognition of the client when given a task to complete
B) part of the conscious that perceives, sorts, and combines information. Measured in orientation to time, place and person.
Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? SELECT ALL THAT APPLY A) Communicate expected behaviors to the client B) Follow through about the consequences of behavior in a non-punitive manner C) Ensure that the client knows that he or she is not in charge of the nursing unit D) Assist the client with developing a means of setting limits on personal behavior E) Enforce rules and inform the client that he or she will not be allowed to attend therapy groups F) Be clear with the client regarding the consequences of exceeding limits set regarding behavior
A) Communicate expected behaviors to the client B) Follow through about the consequences of behavior in a non-punitive manner D) Assist the client with developing a means of setting limits on personal behavior F) Be clear with the client regarding the consequences of exceeding limits set regarding behavior
Limit setting in facilities, such as rules for television use in the recreation room or visiting hours, aids in the client's feelings of: A) Personal Identity B) Privacy C) Safety and security D) High Self-esteem
C) Safety and security
The care provider is completing the general description portion of the mental status examination tool. One of the primary focuses of this portion of the tool is the client's: A) Level of consciousness B) Motor activity, gestures, and posture C) Level of concentration and judgement D) Perceptions
B) Motor activity, gestures, and posture
During an admission assessment, a male client states that he has been having auditory hallucinations and difficulty concentrating at work. This type of data is referred to as: A) Objective B) Subjective C) Measured D) Shared
B) Subjective
The nurse is taking care of a patient who is in recovery from drug dependance the client and nurse relationship crosses a barrier because of her intense feelings of compassion and inability to separate her strong desire for the patient to succeed and the clients medical needs this is an example of: A) Countertransference B) Counterdependace C) Interdependance D) Intratransferance
A) Countertransference
A client admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. " Let me out! There's nothing wrong with me! I don't belong here! " The nurse identifies this behavior as which defense mechanism? A) Denial B) Projection C) Regression D) Rationalization
A) Denial
Which behaviors observed by the nurse might lead to the suspicion that a depressed adolescent client could be suicidal? A) The client gives away a prized CD and a cherished autographed picture of the performer B) The client runs out of the therapy group swearing at the group leader and then runs to her room C) The client gets angry with her roommate when the roommate borrows her clothes without asking D) The client becomes angry while speaking on the telephone and slams the receiver down on the hook.
A) The client gives away a prized CD and a cherished autographed picture of the performer
A client is unwilling to go out of the house for fear of "doing something crazy in public". Because of this fear, the client remains homebound except when accompanied outside by the spouse. The nurse determines that the client has: A) agoraphobia B) hematophobia C) claustrophobia D) hypochondriasis
A) agoraphobia
A manic client announces to everyone in the day room that a stripper is coming to perform that evening. when the psychiatric nurse's aide firmly states that the client's behavior is not appropriate, the manic client becomes verbally abusive and threatens physical violence to the nurse's aide. Based on the analysis of this situation, the nurse determines that the appropriate action would be to: A) escort the manic client to his or her room B) orient the client to time, person, and place C) tell the client that the behavior is not appropriate D) tell the client that smoking privileges are revoked for 24 hours
A) escort the manic client to his or her room
A client has reported that crying spells have been a major problem over the past several weeks, and that the doctor said that depression is probably the reason. The nurse observes that the client is sitting slumped in the chair and the clothes that the client is wearing do not fit well. The nurse interprets that further data collection should focus on: A) weight loss B) sleep patterns C) medication compliance D) onset of the crying spells
A) weight loss
Laboratory work is prescribed for a client who has been experiencing delusions. When the laboratory technician approaches the client to obtain a specimen of the client's blood, the client begins to shout, "You're all vampires. Let me out of here!" The nurse who is present at the time should respond by stating which of the following? A) " The technician is not going to hurt you but is going to help" B) " Are you fearful and think that others way want to hurt you" C) " What makes you think that the technician wants to hurt you?" D) " The technician will leave and come back later for your blood"
B) " Are you fearful and think that others way want to hurt you"
A female client with severe depression is about to be discharged from an inpatient mental health unit. The client's highest level of education is the seventh grade, and she reads at a 5th grade level. The nurse is giving her discharge instructions. Which instructions is most appropriate for this client? A) " Your MAOI should be taken once a day at the same time each day" B) " This is the medication for your depression , and you will take it every morning after you get up." C) " Your MAOI should be taken q.d." D) " Your antidepressant should be taken in the morning or in the evening at the same time each day"
B) " This is the medication for your depression , and you will take it every morning after you get up."
An adolescent female client with anger management issues is found destroying items in her room. What is the nurse's most appropriate response? A) " Stop! Why are you destroying these things" B) " You need to stop that behavior. Destroying hospital property is not allowed C) " Why do you feel you have the right to destroy those things" D) " You are very disappointing to me right now."
B) " You need to stop that behavior. Destroying hospital property is not allowed
The nurse observes the client as he paces the floor and talks to himself. The nurse documents, "Client confused and agitated." This is an example of: A) Objective data B) A judgement C) Subjective data D) An observation
B) A judgement
The nurse enters a client's room, and the client immediately demands to be released from the hospital. During review of the client's record, the nurse notes that the client was admitted 2 days ago for the treatment of an anxiety disorder and that the admission was a voluntary one. The nurse reports the findings to the the registered nurse (RN) and expects that the RN will take which action? A) Call the client's family B) Persuade the client to stay a few more days C) Contact the primary health care provider ( PHCP) D) Tell the client that discharge is not possible at this time
C) Contact the primary health care provider ( PHCP)
The client has been diagnosed with a chronic mental illness. The nurse would recognize that the patient would have all of the following characteristics EXCEPT: A) Altered thought process B) Chronic low self esteem C) Delayed developmental cognition D) depression E) loneliness F) Hopelessness
C) Delayed developmental cognition
A Male client, home from military combat, is given the diagnosis of post-traumatic stress disorder (PTSD) and is unable to discuss previous painful experiences and emotions. Which mind-body-based therapy could help to decrease his stress and emotional pain? A) Massage B) Phototherapy C) Eye Movement desensitization D) Hypnosis
C) Eye Movement desensitization
A nurse is caring for a client with a diagnosis of depression. the nurse monitors for signs of constipation and urinary retention, knowing that these problems are likely caused by: A) poor dietary choices B) lack of exercise and poor diet C) inadequate dietary intake and dehydration D) psychomotor retardation and side effects of medication
D) psychomotor retardation and side effects of medication
Which data indicates to the nurse that a client may be experiencing ineffective coping? A) Laughing inappropriately B) Constantly neglects personal grooming C) Stops going out with friends D) Approaches strangers and starts conversations
B) Constantly neglects personal grooming
The nurse is assisting with the data collection on a client admitted to the psychiatric unit. After review of the obtained data, the nurse should identify which as a priority concern? A) The client's report of not eating or sleeping B) The presence of bruises on the client's body C) The client's report of self- destructive thoughts D) The family member is disapproving of the treatment
C) The client's report of self- destructive thoughts
The Nurse is assigned to care for a client admitted to the hospital after sustaining an injury from a house fire. The Client attempted to save a neighbor involved in the fire, but despite the client's efforts, the neighbor died. Which action should the nurse take to enable the client to work through the meaning of the crisis? A) Identifying the client's ability to function B) Identifying the client's potential for self-harm C) Inquiring about the client's feelings that may affect coping D) Inquiring about the client's perception of the cause of the neighbor's death
C) Inquiring about the client's feelings that may affect coping
A 30-year-old man is brought to the mental health inpatient unit with the diagnosis of schizophrenia. His clothes are dirty, his hair is uncombed, he has not shaved for several days, and his teeth are chipped, with several cavities evident. He is having hallucinations and delusions. What is the priority nursing diagnosis at this time? A) Ineffective coping, individual B) Therapeutic regimen management, Ineffective C) Self-care deficit: bathing, hygiene D) Confusion, chronic
C) Self-care deficit: bathing, hygiene
A client was admitted to a medical unit with acute blindness. many tests are performed and there seems to be no organic reason why this client cannot see. the nurse latter learns that the client became blind after witnessing a hit-and-run car crash, in which a family of three was killed. the nurse suspects that the client may be experiencing a: A) psychosis B) repression C) conversion disorder D) dissociative disorder
C) conversion disorder
A nurse notes documentation in a client's record that the client is experiencing delusions of persecution. The nurse understands that these types of delusions are characteristics of which of the following? A) the false belief that one is a very powerful person. B) the false belief that one is very important person C) the false belief that one is being singled out for harm by others D) the false belief that one's partner is going out with other people
C) the false belief that one is being singled out for harm by others
A male client with bipolar disorder has been admitted to a mental health unit during a manic phase. To provide consistency for this client, the care plan should be: A) Revised on a daily basis by the treatment team B) Followed by each member of the treatment team C) Allowed to be changed by the client as necessary D) Evaluate primarily by the physician
B) Followed by each member of the treatment team
The nurse enters the room of a male client who demonstrates suspicious tendencies. As the nurse walks through the room, the client yells, " Get away from my closet." What is the nurse's most appropriate action? A) Ask the client what he has in the closet that is so important. B) Avoid getting close to the closet C) Inform the client that because of his actions, the staff will have to examine the contents of the closet. D) Inspect the client's closet when the client is involved in an activity away from the unit
B) Avoid getting close to the closet
Clients with attention-deficit/ hyperactivity disorder have been found to respond well to therapy in which they are taught to use signals from special equipment that monitors body functions, such as respiratory and pulse rates, to control their own responses. What is this therapy called? A) Qi Gong B) Reiki C) Biofeedback D) Acupuncture
C) Biofeedback
An intoxicated client is brought to the emergency department by local police. The client is told that the health care provider (PHCP) will be in to see the client in about 30 minutes. The client becomes very loud and offensive and wants to be seen by the PHCP immediately. The nurse assisting to care for the client would plan for which appropriate nursing intervention? A) Watch the behavior escalate before intervening B) Attempt to talk with the client to de-escalate the behavior C) Offer to take the client to an examination room until he or she can be treated D) Inform the client that he or she will be asked to leave if the behavior continues
C) Offer to take the client to an examination room until he or she can be treated
A nurse is planning care for a client who is being hospitalized because the client has been displaying violent behavior and is at risk for potential harm to others. The nurse avoids which intervention in the plan of care? A) facing the client when providing care B) ensuring that a security officer is within the immediate area C) keeping the door to the client's room open when with the client D) assigning the client to a room at the end of the hall to prevent disturbing the other client
D) assigning the client to a room at the end of the hall to prevent disturbing the other client
The client is being admitted to the inpatient rehabilitation clinic for drug dependance during the detox period what labs would be monitored for therapeutic compliance?SELECT ALL THAT APPLY A) Drug screen and urinalysis B) Fluid and Electrolytes C) Magnesium levels and glucose D) CBC E) Liver function tests F) Ammonia and BUN G) ABG's
B) Fluid and Electrolytes C) Magnesium levels and glucose E) Liver function tests F) Ammonia and BUN G) ABG's
A female client tells the care provider that she feels very depressed about her recent divorce. Which is the care provider's best response? A) " I know exactly how you feel." B) " Most people experience depressed feelings after a divorce." C) " I know this must be difficult for you." D) " Look on the bright side. You will be glad you divorced him in a couple of years."
C) " I know this must be difficult for you."
The caregiver observes a male client who is sitting in a chair, staring out the window for a long time. The caregiver asks the client whether he is okay. The client says that he is trying to talk himself into telling his wife about his gambling addiction and the money he has lost. He says that he is playing the scenario in his head and is thinking about how he wants to present the news to her and how she will respond. The client's behavior is an example of: A) Hallucinations B) Intrapersonal communication C) Delusions D) Interpersonal communication
B) Intrapersonal communication
The caregiver is talking with a newly admitted male client while in the activity room where others are present. The client becomes tearful when talking about his children at home. What is the caregiver's best action? A) Ask the client to talk more about his children B) Take the client into a private area to continue the conversion C) Ask the client why he us crying D) Distract the client by encouraging him to join the group activity
B) Take the client into a private area to continue the conversion
The nurse in a psychiatric unit is assigned to care for a client admitted to the unit 2 days ago. During review of the client's record, the nurse notes that the admission was a voluntary one. Based on this type of admission, which would the nurse expect to note? A) The client will be angry and will refuse care B) The client will participate in the treatment plan C) The client will be very resistant to treatment measures D) The client's family will be very resistant to treatment measures
B) The client will participate in the treatment plan
A Client tells the care provider that he feels his depression is improving. The client has a flat affect and monotone voice, has not combed his hair or shaved in a week, and has not participated in his group therapy sessions for 2 weeks. What is the most accurate interpretation of this situation? A) The client's true feelings of improvement in his depression were shared in his verbal communication. B) The client's nonverbal communication indicates that there is no improvement in his depression C) The client's verbal communication and non verbal communication convey the same message D) Verbal communication is always the best indicator of how a person feels
B) The client's nonverbal communication indicates that there is no improvement in his depression
The nurse is with a client who wants to know her lab values for her drug screen, what is the Nurses role in telling her client the lab values? A) The nurse is free to give the results and explain them B) The physician is responsible for giving the lab values C) The Nurse is responsible for giving the results D) The physician and the nurse are responsible to give the results together
B) The physician is responsible for giving the lab values
A mother of a teenage client with an anxiety disorder is concerned about her daughter's progress on discharge. She states that her daughter "stashes food, eats all the wrong things that make her hyperactive" and "hangs out with the wrong crowd". In helping the mother prepare for her daughter's discharge, the nurse suggests that the mother: A) restrict the daughters socializing time with her friends. B) restrict the amount of chocolate and caffeine products in the home C) keep her daughter out of school until she can adjust to the school environment D) consider taking time from work to help her daughter readjust to the home environment.
B) restrict the amount of chocolate and caffeine products in the home
A client with delirium becomes agitated and confused at night. The best initial intervention by the nurse is to: A) move the client next to the nurse's station B) use a night light and turn off the television C) keep up the television and a soft light on during the night. D) play soft music during the night and maintain a well-lit room
B) use a night light and turn off the television
A client says to the nurse, " I'm going to die, and I wish my family would stop hoping for a "cure"! I get so angry when they carry on like this! After all , I'm the one who's dying". Which therapeutic response should the nurse make to the client? A) " Have you shared your feelings with your family?" B) " I think we should talk more about your anger with your family" C) " You're feeling angry that your family continues to hope for you to be cured?" D) " Well, It sounds like you're being pretty pessimistic. After all , years ago people died of pneumonia"
C) " You're feeling angry that your family continues to hope for you to be cured?"
A nurse is collecting data on a client who is actively hallucinating. Which nursing statement would be therapeutic at this time? A) "I know you feel they are out to get you, but its not true" B) "I can hear the voice and she wants you to come to dinner" C) "sometimes people hear things or voices others can't hear" D) "I talked to the voices you're hearing and they won't hurt you now"
C) "sometimes people hear things or voices others can't hear"
A client who is diagnosed with pedophilia and has been recently paroled as a sex offender says "Im in treatment and I have served my time. Now this group has posters of me all over the neighborhood telling about me with my picture on it" which of the following is an appropriate response by the nurse? A) "when children are hurt as you hurt them, people want you isolated" B) "you're lucky it doesn't escalate into something pretty scary after your crime" C) "you understand that people fear for their children, but you're feeling unfairly treated?" D) "you seem angry, but you have committed serious crimes against several children, so your neighbors are frightened?"
C) "you understand that people fear for their children, but you're feeling unfairly treated?"
Which followed best describes an allopathic method of treatment for a client with a diagnosis of generalized anxiety disorder? A) Massage therapy for relaxation B) Herb and dietary supplements that promote relaxation C) Anti-anxiety medications to decrease anxiety levels D) Incorporation of body, mind, and spirit to decrease anxiety levels.
C) Anti-anxiety medications to decrease anxiety levels
A nurse is preparing a client for the termination phase of the nurse-client relationship. Which nursing task would the nurse appropriately plan for this phase? A) Plan short-term goals B) Identify expected outcomes C) Assist with making appropriate referrals D) Assist with developing realistic solutions
C) Assist with making appropriate referrals
